LEMBAGA HASIL DALAM NEGERI MALAYSIA
Form
BT
1
Name
2
Income Tax No.
YEAR OF ASSESSMENT
RETURN FORM OF A RESIDENT INDIVIDUAL
(KNOWLEDGE / EXPERT WORKER)
UNDER SECTION 77 OF THE INCOME TAX ACT 1967
2012
This form is prescribed under section 152 of the Income Tax Act 1967
CP 4A - Pin. 2012
(as per identification
ducument)
Enter SG or OG
3
Identification No.
4
Current
Passport No.
5
Passport No.
Registered with
LHDNM
Status of Tax (from page 7) (Indicate ‘X’ in the relevant box)
Tax Repayable
Tax paid in excess
(item EA14/EB14)
(item F4)
f
e
r
PART A:
A1
A3
A5
or
Status of
Approved Worker
f
There is balance of tax payable
Not taxable / Nil balance
(item EA13/EB13/F3 whichever is relevant)
(if EA13/EB13/EA14/EB14/F3/F4 = ‘0’)
e
r
e
PARTICULARS OF INDIVIDUAL
Date of Approval
by the Minister
1 = Knowledge Worker
2 = Expert Worker (under The Returning
Expert Programme)
A2
Use Country Code
(Enter ‘MY’ if Malaysian Citizen)
A4
Sex
A6
Date of Marriage/
Divorce/Demise
Citizen
Status as at
31-12-2012
e
c
n
o
y
l
n
1 = Single 2 = Married
3 = Divorcee / Widow / Widower
4 = Deceased
Day
1 = Male
Day
A7
Type of
Assessment
1=
2=
3=
4=
Joint in the name of husband
Joint in the name of wife
Separate
Self whose spouse has no income / no source of
income / has tax exempt income
5 = Self (single/divorcee/widow/widower/deceased)
A8
Record-keeping
Month
Year
2 = Female
Month
1 = Yes
Year
2 = No
FOR OFFICE USE
Date received (1)
Date received (2)
1
Date received (3)
Income Tax No.
Name
A9
Correspondence
Address (if there is a change)
Enter “X” if the
correspondence
adress belongs to a
tax agent
Town
Postcode
State
A10
Address of
Business Premise
Town
Postcode
State
A11
A13
A14
Telephone
No.
r
o
f
f
e
r
Employer's
A12 No.
Website / Blog
Address
Name of Bank
A16
Bank Account No.
PART B:
PARTICULARS OF HUSBAND / WIFE
Name of
Husband / Wife
(as per identification
document)
B2
e
c
n
e-mail
A15
B1
-
e
r
e
Income Tax No.
Enter SG or OG
B3
Identification No.
B4
Passport No.
2
o
E
y
l
n
Name
Income Tax No.
(Declare amount in Ringgit Malaysia (RM) currency)
PART C :
STATUTORY INCOME AND TOTAL INCOME
Statutory Business Income
Business Code
Amount (RM)
C1
Business 1
,
,
,
C2
Business 2
,
,
,
C3
Business 3 + 4 and so forth (if any)
,
,
,
Statutory Partnership Income
Income Tax No.
C4
Partnership 1
D
,
,
,
C5
Partnership 2
D
,
,
,
C6
Partnership 3 + 4
and so forth (if any)
D
,
,
,
C7
Aggregate statutory income from businesses ( C1 to C6 )
,
,
C8
LESS : Business losses brought forward
(Restricted to amount in C7)
C9
TOTAL ( C7 - C8 )
C7
e
c
n
,
o
y
l
n
C8
,
,
,
C9
,
,
,
C10
,
,
,
C11
,
,
,
C12
,
,
,
Rents, royalties and premiums
C13
,
,
,
C14
Pensions, annuities and other periodical payments
C14
,
,
,
C15
Other gains or profits
C15
,
,
,
C16
Additions pursuant to paragraph 43(1)(c)
C16
,
,
,
C17
Aggregate statutory income from other sources ( C10 to C16 )
C17
,
,
,
C18
AGGREGATE INCOME ( C9 + C17 )
C18
,
,
,
C19
LESS : Current year business losses
(Restricted to amount in C18)
C19
,
,
,
C20
TOTAL ( C18 - C19 )
C20
,
,
,
e
f
e
Statutory Income From Other Sources
C10
Employment
C11
Dividends
C12
Interest and discounts
C13
f
or
r
re
LESS : Other deductions
C21
Qualifying prospecting expenditure - Schedule 4 and
paragraph 44(1)(b)
C21
,
,
,
C22
Qualifying farm expenditure - Schedule 4 A and
paragraph 44(1)(b)
C22
,
,
,
C23
TOTAL ( C20 - C21 - C22 )
(Enter "0" if value is negative)
C23
,
,
,
3
Name
Income Tax No.
LESS : Donations and Gifts
C24
Gift of money to the Government, State Government or local
authorities
C24A
Gift of money to approved institutions or organisations
,
C25
,
,
,
,
,
,
,
Gift of money or cost of contribution in kind for
any approved sports activity or sports body
,
C26
,
C24
,
Restricted to
7% of C18
,
Gift of money or cost of contribution in kind for any project
of national interest approved by the Minister of Finance
,
,
,
C27
Gift of artefacts, manuscripts or paintings to the Government/
State Government
C27
,
C28
Gift of money for the provision of library facilities or to
libraries
C28
C29
Gift of money or contribution in kind for the provision of
facilities in public places for the benefit of disabled persons
C30
y
l
n
,
,
,
,
,
C29
,
,
,
Gift of money or medical equipment to any healthcare facility
approved by the Ministry of Health
C30
,
,
,
C31
Gift of paintings to the National Art Gallery or any state art
gallery
C31
,
,
,
C32
TOTAL [ C23 - ( C24 to C31 ) ]
(Enter "0" if value is negative)
C32
,
,
,
TAXABLE PIONEER INCOME
C33
,
,
,
TOTAL INCOME (SELF) ( C32 + C33 )
(Enter "0" if value is negative)
C34
,
,
,
,
,
,
,
,
,
C33
C34
C35
C36
f
or
re
r
e
f
en
ce
TOTAL INCOME TRANSFERRED FROM HUSBAND /
C35
WIFE * FOR JOINT ASSESSMENT
1
=
With
business
income
* Type of income transferred
2 = Without business income
from Husband / Wife
C36
AGGREGATE OF TOTAL INCOME ( C34 + C35 )
PART D:
o
DEDUCTIONS
9, 0 0 0
D1
Individual and dependent relatives
D2
Medical treatment, special needs and carer expenses for parents
(certified by medical practitioner)
RESTRICTED TO 5,000
,
D3
Basic supporting equipment for disabled self, husband / wife,
child or parent
RESTRICTED TO 5,000
,
D4
Disabled individual
6,000
,
Education fees (self):
D5
(i)
other than a degree at Masters or Doctorate level - for acquiring law, accounting, Islamic
financing, technical, vocational, industrial, scientific or technological skills or qualifications
(ii) degree at Masters or Doctorate level for acquiring any skill or qualification
4
RESTRICTED TO 5,000
,
Name
Income Tax No.
D6
Medical expenses on serious diseases for self,
husband / wife or child
D7
Complete medical examination for self, husband / wife
or child (restricted to 500)
D8
D9
}
,
RESTRICTED TO 5,000
,
Purchase of books/magazines/journals/similar publications (except
newspapers and banned reading materials) for self, husband / wife
or child
RESTRICTED TO 1,000
,
Purchase of personal computer for individual (deduction
allowed once in every 3 years)
RESTRICTED TO 3,000
,
D10
Net deposit in Skim Simpanan Pendidikan Nasional
(total deposit in 2012 minus total withdrawal in 2012)
RESTRICTED TO 6,000
,
D11
Purchase of sports equipment for any sports activity as defined
under the Sports Development Act 1997
RESTRICTED TO
D12
Payment of broadband subscription
RESTRICTED TO
D13
Interest on housing loan (Conditions for eligibility to claim must be fulfilled)
D14
Husband / Wife / Payment of alimony to former wife
D15
Disabled husband / wife
D16
The Sale and Purchase Agreement has been executed within 10/03/09 - 31/12/10
No.
Child - Under the
D16a age of 18 years
f
Child - 18 years
D16b & above and
studying
D16c
Child - Disabled
child
r
100%
y
l
n
500
o
RESTRICTED TO 10,000
ce
No. of children
claimed by
own self
No. of children
eligible for
deduction
or
e
f
e
n
e
r
300
,
RESTRICTED TO 3,000
,
3,500
,
No. of children
claimed by
husband / wife
Eligible Rate
50%
No.
x 1,000 =
,
x 500 =
,
x 1,000 =
,
x 500 =
,
x 4,000 =
,
x 2,000 =
,
x 5,000 =
,
x 2,500 =
,
x 9,000 =
,
x 4,500 =
,
,
,
,
D17
Life insurance and provident fund
RESTRICTED TO 6,000
,
D18
Private Retirement Scheme and Deferred Annuity
RESTRICTED TO 3,000
,
D19 Education and medical insurance
D20
RESTRICTED TO 3,000
D20
Total relief ( D1 to D19 )
5
,
,
,
Name
Income Tax No.
Note: Fill in Part EA for Knowledge Worker (If A1 = 1)
PART EA:
EA1
TAX PAYABLE
CHARGEABLE INCOME [ ( C34 - D20 ) or ( C36 - D20 ) ]
(Enter "0" if value is negative)
,
,
,
EA2a Chargeable Income Subject to Part XIV of Schedule 1
Knowledge Worker Approved By The Minister
=
Gross income from employment
with a designated company
Total gross income from
all sources
=
,
X
Chargeable income (from EA1)
Income Tax
At Rate
,
,
15%
,
Income Tax Computation In Respect of Chargeable Income Subject to
Part I of Schedule 1 (Refer to the tax rate schedule provided)
EA2b Tax on the first
,
,
,
y
l
n
.
,
,
.
,
o
,
Income Tax
ce
,
,
,
,
.
EA3
,
,
,
.
At Rate (%)
EA2c Tax on the balance
,
,
,
r
e
f
EA3 TOTAL INCOME TAX ( EA2a + EA2b + EA2c )
LESS : Tax Rebates
Tax rebate for self
EA4 (if EA1 does not
r
o
f
exceed RM35,000)
re
en
Tax rebate for husband/wife
400
EA5 (if EA1 does not exceed
RM35,000 and D14 is claimed)
EA6 Zakat and fitrah
,
400
.
,
EA7 Total rebate ( EA4 to EA6 )
EA7
,
,
,
.
EA8 TOTAL TAX CHARGED ( EA3 - EA7 )
EA8
,
,
,
.
EA9
,
,
,
.
EA10 Section 110 tax deduction (others)
EA10
,
,
,
.
EA11 Section 132 tax relief
EA11
,
,
,
.
EA12
,
,
,
.
EA13
,
,
,
.
EA14
,
,
,
.
(Restricted to amount EA3)
LESS :
EA9 Tax deduction under section 51 of Finance Act 2007 (dividends)
EA12 Section 133 tax relief
}
Restricted to EA8
EA13 TAX PAYABLE* [ EA8 - ( EA9 + EA10 + EA11 + EA12 ) ]
EA14
OR : TAX REPAYABLE* [ ( EA9 + EA10 + EA11 + EA12) - EA8 ]
[For a ‘Tax Repayable’ case, fill in items A15 and A16 on page 2]
6
Name
Note:
Income Tax No.
Fill in Part EB for Expert Worker (under The Returning Expert Programme) (If A1 = 2)
PART EB:
TAX PAYABLE
EB1
CHARGEABLE INCOME [ ( C34 - D20 ) or ( C36 - D20 ) ]
(Enter "0" if value is negative)
EB2
Chargeable Income Subject to Part XV of Schedule 1
Statutory income from employment
with the person resident in Malaysia
=
X
=
Chargeable income (from EB1)
Aggregate income (from C18)
,
,
,
,
,
,
Income Tax Computation In Respect of Chargeable Income Subject to Part XV of Schedule 1
At Rate
Income Tax
EB2a Tax on the first
,
,
,
15%
,
,
,
.
EB2b Tax on the balance
,
,
,
15%
,
,
,
.
Income Tax Computation In Respect of Chargeable Income Subject to
Part I of Schedule 1 (Refer to the tax rate schedule provided)
,
,
.
,
,
.
,
,
,
.
,
,
,
.
,
,
,
,
.
,
,
,
,
,
.
,
,
,
,
,
,
.
,
,
,
,
,
,
.
,
,
,
.
EB2c Tax on the first
,
,
,
,
EB2d Tax on the balance
,
,
,
,
o
EB2e Tax on the balance
,
,
,
EB2f Tax on the balance
,
,
EB2g Tax on the balance
,
EB2h Tax on the balance
,
or
EB2i Tax on the balance
f
EB2j Tax on the balance
y
l
n
Income Tax
At Rate (%)
r
ef
,
e
r
e
,
e
c
n
EB3 TOTAL INCOME TAX ( EB2a to EB2j )
EB3
LESS : Tax Rebates
Tax rebate for self
EA4 (if EB1 does not exceed
RM35,000)
Tax rebate for husband/wife
400
EA5 (if EB1 does not exceed
RM35,000 and D14 is claimed)
EA6 Zakat and fitrah
,
400
.
,
EB7 Total rebate ( EB4 to EB6 )
EB7
,
,
,
.
EB8 TOTAL TAX CHARGED ( EB3 - EB7 )
EB8
,
,
,
.
EB9
,
,
,
.
EB10
,
,
,
.
EB11
,
,
,
.
EB12
,
,
,
.
EB3
,
,
,
.
EB4
,
,
,
.
(Restricted to amount EA3)
LESS :
EB9 Tax deduction under section 51 of Finance Act 2007 (dividends)
EB10 Section 110 tax deduction (others)
EB11 Section 132 tax relief
EB12 Section 133 tax relief
}
Restricted to EB8
EB13 TAX PAYABLE* [ EB8 - ( EB9 + EB10 + EB11 + EB12 ) ]
EB14
OR : TAX REPAYABLE* [ ( EB9 + EB10 + EB11 + EB12) - EA8 ]
[For a ‘Tax Repayable’ case, fill in items A15 and A16 on page 2]
7
Name
Income Tax No.
PART F:
F1
STATUS OF TAX FOR YEAR OF ASSESSMENT 2012
Tax payable (from E13)
F1
,
,
,
.
LESS :
F2
Instalments/Monthly Tax Deductions Paid for 2012 Income SELF and HUSBAND / WIFE if joint assessment
F2
,
,
,
.
F3
Balance of tax payable* ( F1 - F2 )
F3
,
,
,
.
F4
OR : Tax paid in excess* ( F2 - F1 )
F4
,
,
,
.
*
Please enter the tax position (EA13 / EB13 / EA14 / EB14 / F3 / F4 whichever is applicable) under
the item ‘Status of Tax’ on page 1
PART G:
INCOME OF PRECEDING YEARS NOT DECLARED
Type of Income
Year for
which paid
G1
G2
G3
r
o
f
PART H:
r
e
f
e
re
e
c
n
Gross Amount
o
y
l
n
Provident and Pension
Fund Contribution
,
,
,
,
,
,
,
,
,
,
,
,
PARTICULARS OF EXECUTOR OF THE DECEASED PERSON'S ESTATE **
H1
Executor's
Name
H2
Identification No.
H3
No. Pasport
** This form is not a notification pursuant to subsection 74(3) of the ITA 1967. Please furnish Form CP57 (Notification of Taxpayer’s
Demise) which is available from the LHDNM website, http://www.hasil.gov.my
8
Name
Income Tax No.
PART J:
J1
PARTICULARS OF BUSINESS INCOME
LOSSES
Balance carried forward
J1a
Balance from current year losses
J1a
,
,
,
J1b
Balance from previous years' losses
J1b
,
,
,
J1c
Losses carried forward ( J1a + J1b )
J1c
,
,
,
,
,
,
Amount absorbed
J1d
J2
Pioneer loss
,
,
,
CAPITAL ALLOWANCES
Allowance absorbed
J2a
Business 1
,
,
,
,
J2b
Business 2
,
,
,
,
J2c
Business 3 + 4 and
so forth (if any)
,
,
,
J2d
Partnership 1
,
,
,
J2e
Partnership 2
,
J2f
Partnership 3 + 4 and
so forth (if any)
,
J3
J3a
f
f
e
r
,
or
,
y
l
n
Balance carried forward
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
e
r
e
o
e
c
n
PARTICULARS OF WITHHOLDING TAXES
Section
Total gross amount paid
Total tax withheld and remitted to LHDNM
107 A
,
,
,
,
,
,
J3b
109
,
,
,
,
,
,
J3c
109A
,
,
,
,
,
,
J3d
109 B
,
,
,
,
,
,
J3e
109 F
,
,
,
,
,
,
PART K:
SPECIAL DEDUCTION, FURTHER DEDUCTION AND DOUBLE DEDUCTION
CLAIM CODE
AMOUNT
CLAIM CODE
AMOUNT
K1
,
,
,
K2
,
,
,
K3
,
,
,
K4
,
,
,
,
,
,
K5
TOTAL CLAIMED
K5
9
Name
Income Tax No.
PART L:
INCENTIVE CLAIM / EXEMPT INCOME
Type of incentive
Balance carried forward
Amount absorbed
L1
Schedule 7A Allowance
L2
Increased Exports
Allowance For
Qualifying Services
L3
Schedule 4 Qualifying Expenditure
L4
Schedule 4A Qualifying Expenditure
,
,
,
,
,
,
,
,
,
,
,
,
L3
,
,
,
L4
,
,
,
y
l
n
Amount exempted
L5
Pioneer Income
L5
,
L6
Approved Food Production Project
L6
PART M:
M1
Name of
Business
,
,
,
,
,
,
,
,
,
,
,
,
,
,
o
e
c
n
FINANCIAL PARTICULARS OF INDIVIDUAL
f
e
r
e
r
e
TRADING, PROFIT AND LOSS ACCOUNT
r
o
f
M1
M1A Business Code
M2
M2
Sales or turnover
LESS :
M3
Opening stock
M3
,
,
,
M4
Purchases and cost of production
M4
,
,
,
M5
Closing stock
M5
,
,
,
M6
Cost of sales ( M3 + M4 - M5 )
M7
GROSS PROFIT / LOSS ( M2 - M6 )
M6
M7
(Enter "X" if negative)
INCOME :
M8
Other business
M8
,
,
,
M9
Dividends
M9
,
,
,
Interest and discounts
M10
,
,
,
M10
10
Name
Income Tax No.
M11
Rents, royalties and premiums
M11
,
,
,
M12
Other income
M12
,
,
,
M13
TOTAL ( M8 to M12 )
M13
,
,
,
EXPENSES :
M14
Loan interest
M14
,
,
,
M15
Salaries and wages
M15
,
,
,
M16
Rental/Lease
M16
,
,
,
M17
Contracts and subcontracts
M17
,
,
,
M18
Commissions
M18
,
,
,
M19
Bad debts
M19
,
,
M20
Travelling and transport
,
,
,
M21
Repairs and maintenance
M21
,
,
,
Promotion and advertisement
M22
,
,
,
M23
Other expenses
M23
,
,
,
M24
TOTAL EXPENSE ( M14 to M23 )
M25
NET PROFIT / LOSS
M22
f
or
f
e
r
M20
e
r
e
,
e
c
n
M24
M25
(Enter "X" if negative)
M26
M26
Non-allowable expenses
BALANCE SHEET
Fixed Assets :
M27
Land and buildings
M27
,
,
,
M28
Plant and machinery
M28
,
,
,
M29
Motor vehicles
M29
,
,
,
M30
Other fixed assets
M30
,
,
,
11
o
y
l
n
,
,
,
,
,
,
,
,
,
Name
Income Tax No.
M31
TOTAL FIXED ASSET ( M27 to M30 )
M31
,
,
,
M32
Investments
M32
,
,
,
Current Assets :
M33
Stock
M33
,
,
,
M34
Trade debtors
M34
,
,
,
M35
Sundry debtors
M35
,
,
,
M36
Cash in hand
M36
,
,
,
M37
Cash at bank
,
,
,
,
,
M37
(Enter "X" if negative)
M38
M38
Other current assets
M39
TOTAL CURRENT ASSET ( M33 to M38 )
M40
TOTAL ASSET ( M31 + M32 + M39 )
LIABILITIES :
r
o
f
f
e
r
,
e
r
e
e
c
n
M39
,
,
,
M40
,
,
,
M44
,
,
,
M45
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
Loans and overdrafts
M41
,
,
,
Trade creditors
M42
,
,
,
M43
Sundry creditors
M43
,
,
,
M44
TOTAL LIABILITY ( M41 to M43 )
M41
M42
o
y
l
n
OWNER'S EQUITY :
M45
Capital account
M46
Current account
balance brought forward
M47
M46
(Enter "X" if negative)
Current year profit/loss
M47
(Enter "X" if negative)
M48
M48
Net advance/drawing
(Enter "X" if negative)
M49
Current account
balance carried forward
M49
(Enter "X" if negative)
12
Name
Income Tax No.
DECLARATION
I
Identification / Passport No.
hereby declare that the information regarding the income and claim for deductions and reliefs given by me in this return form and in
any document attached is true, correct and complete.
1 = This return form is made on my own behalf
2 = This return form is made on behalf of the individual in item 1
-
Date:
Day
Month
Year
f
e
r
or
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Signature
PARTICULARS OF TAX AGENT WHO COMPLETES THIS RETURN FORM
a
f
Name
of Firm
b
Telephone
No.
c
Tax Agent's
Approval No.
-
-
Date:
Day
Month
Year
Signature
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Please read the following reminder before signing this return form
REMINDER
Please ensure that this return form is completed and in order. Carefully check all information given
before submitting it to Lembaga Hasil Dalam Negeri Malaysia.
Check to ensure that the following have been done (Tick “ _/ ” in the relevant box)
Tax computation has been done on the appropriate working sheets (according to the Form BT
Explanatory Notes and Guidebook) and the amounts accurately transferred to this return form.
All working sheets, records and documents are properly kept for reference by LHDNM.
All information have been clearly filled in the spaces provided.
Name and income tax number are clearly indicated on every page of this return form and
relevant working sheets.
If there is any balance of tax payable, payment must be made according to the following:Payment can be made as follows:
(a) Bank
- Counters of CIMB Bank Berhad (CIMB), Public Bank Berhad (PBB), Malayan
Banking Berhad (Maybank) and Affin Bank Berhad (ABB) by using the bank
payment slip.
- CIMB, PBB, Maybank & Hong Leong Bank internet banking and Maybank phone
banking.
- Auto Teller Machine (ATM) of PBB, Maybank & CIMB, PBB Cheque Deposit
Machine and CIMB Cash Deposit Machine.
(b) LHDNM - e-Payment through FPX (Financial Process Exchange) at LHDNM website,
http://www.hasil.gov.my
- Payment counters of LHDNM or by mail:
O
Cheques, money orders and bank drafts must be crossed and made payable
to the Director General of Inland Revenue. Use the Remittance Slip
(CP501) when making payment.
O
Write down the name, address, telephone number, income tax number,
year of assessment and payment code on the reverse side of the
financial instrument.
O
Payment by CHEQUE / MONEY ORDER / POSTAL ORDER / BANK DRAFT
must be separately remitted to LHDNM at the following address.
O
Payment by CASH must not be sent by post.
(c) Pos Malaysia Berhad - counter and Pos Online
An increase in tax of 10% under subsection 103(3) ITA 1967 shall be imposed for failure to pay the tax or
balance of tax payable on or before 30 April 2013 (does not carry on business) OR 30 June 2013 (carry on
business). Any balance remaining unpaid upon the expiration of 60 days from the date of such increase,
shall be further increased by 5% under subsection 103(4) ITA 1967 of the balance unpaid.
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Posta l Address
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Payment C ounter
PENINSULAR MALAYSIA
Lembaga Hasil Dalam Negeri Malaysia
Cawangan Pungutan, Tingkat 15, Blok 8A
Kompleks Bangunan Kerajaan, Jalan Duta
Karung Berkunci 11061
50990 Kuala Lumpur
Tingkat Bawah, Blok 8A
Kompleks Bangunan Kerajaan
Jalan Duta
Kuala Lumpur
SABAH & FT LABUAN
Lembaga Hasil Dalam Negeri Malaysia
Cawangan Kota Kinabalu
Wisma Hasil
Jalan Tunku Abdul Rahman
88600 Kota Kinabalu
Lembaga Hasil Dalam Negeri Malaysia
Cawangan Kuching
Aras 17, Wisma Hasil
No. 1, Jalan Padungan
93100 Kuching
Tingkat Bawah
Wisma Hasil
Jalan Tunku Abdul Rahman
Kota Kinabalu
SARAWAK
Aras 1, Wisma Hasil
No. 1, Jalan Padungan
Kuching
REMITTANCE SLIP
CP501 [Pin. 1/2012]
To: DIRECTOR GENERAL OF INLAND REVENUE
Enclosed herewith is the cheque/money order/postal order/bank draft for payment of income tax.
INCOME TAX NO.
PAYMENT CODE
INSTALMENT NO.
YEAR OF ASSESSMENT
084
99
2012
Amount of Payment
Name and Postal Address
RM
.
,
,
,
!!!!!!!!!!!!
Reference No. (Identity Card /
Police / Army / Passport No.)
Cheque No. and Others
Name of Bank
Telephone No.
Date :
.........................................................
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MALAYSIAN INCOME TAX
Remittance Slip
1.
2.
3.
Payment can be made as follows:
1.1 Bank
- Counters of CIMB Bank Berhad (CIMB), Public Bank Berhad (PBB), Malayan Banking Berhad (Maybank) and Affin Bank Berhad
(ABB) by using the bank payment slip.
- CIMB, PBB, Maybank & Hong Leong Bank internet banking and Maybank phone banking.
- Auto Teller Machine (ATM) of PBB, Maybank & CIMB, PBB Cheque Deposit Machine and CIMB Cash Deposit Machine.
1.2 LHDNM - e-Payment through FPX (Financial Process Exchange) at LHDNM website, http://www.hasil.gov.my
- Payment counters of LHDNM or by mail:
Cheques, money orders and bank drafts must be crossed and made payable to the Director General of Inland Revenue. Use
the Remittance Slip (CP501) when making payment.
1.3 Pos Malaysia Berhad - counter and Pos Online
Posta l Address
Payment Counter
PENINSULAR MALAYSIA
Lembaga Hasil Dalam Negeri Malaysia
Cawangan Pungutan, Tingkat 15, Blok 8A
Kompleks Bangunan Kerajaan, Jalan Duta
Karung Berkunci 11061
50990 Kuala Lumpur
Tingkat Bawah, Blok 8A
Kompleks Bangunan Kerajaan
Jalan Duta
Kuala Lumpur
SABAH & FT LABUAN
embaga Hasil Dalam Negeri Malaysia
Cawangan Kota Kinabalu
Wisma Hasil
Jalan Tunku Abdul Rahman
88600 Kota Kinabalu
Tingkat Bawah
Wisma Hasil
Jalan Tunku Abdul Rahman
Kota Kinabalu
SARAWAK
Lembaga Hasil Dalam Negeri Malaysia
Cawangan Kuching
Aras 17, Wisma Hasil
No. 1, Jalan Padungan
93100 Kuching
Aras 1, Wisma Hasil
No. 1, Jalan Padungan
Kuching
Write down the name, address, telephone number, income tax number, year of assessment and payment code on the reverse side of the
financial instrument.
Check the receipts/bank payment slips before leaving the payment counter.